Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05856 | Date 13/12/2023 |
| Token No | SM/22-23/16460 13/12/2023 | Serial | 039 |
| Patient Name | Master SUNDAR KAR | Contact No | |
| Address | GHORAMARA PASCHIMPARA SERAMPORE 712203 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||